Neighborhood social and economic change and diabetes incidence: The HeartHealthyHoods study

被引：20

作者：

Bilal, Usama ^{[1
,2
,3
]}

Glass, Thomas A. ^{[3
]}

del Cura-Gonzalez, Isabel ^{[4
,5
,6
]}

Sanchez-Perruca, Luis ^{[4
,6
]}

Celentano, David D. ^{[3
]}

Franco, Manuel ^{[2
,3
]}

机构：

[1] Drexel Dornsife Sch Publ Hlth, Urban Hlth Collaborat, 3600 Market St,7th Floor,Room 730, Philadelphia, PA 19104 USA

[2] Univ Alcala, Social & Cardiovasc Res Grp, Madrid, Spain

[3] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA

[4] Gerencia Atenc Primaria, Primary Care Res Unit, Madrid, Spain

[5] Univ Rey Juan Carlos, Dept Prevent Med & Publ Hlth, Madrid, Spain

[6] ISCIII, Red Invest Serv Salud & Enfermedades Cron REDISSE, Madrid, Spain

来源：

HEALTH & PLACE | 2019年 / 58卷

基金：

欧洲研究理事会;

关键词：

Neighborhood/place; Health inequalities; Diabetes; Record linkage; SELF-RATED HEALTH; RESIDENTIAL SEGREGATION; FOOD ENVIRONMENT; ASSOCIATION; URBAN; INDIVIDUALS; INEQUALITY; EXPOSURE; OBESITY; SPAIN;

D O I：

10.1016/j.healthplace.2019.102149

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

We studied the association between neighborhood social and economic change and type 2 diabetes incidence in the city of Madrid (Spain). We followed 199,621 individuals living in 393 census tracts for diabetes incidence for 6 years using electronic health records, starting in 2009. We measured neighborhood social and economic change from 2005 to 2009 using a finite mixture model with 16 indicators that resulted in four types of neighborhood change. Adjusted results showed an association between neighborhood change and diabetes incidence: compared to those living in Aging/Stable areas, people living in Declining SES, New Housing and Improving SES areas have an 8% (HR=0.92, 95% CI 0.87 to 0.99), 9% (HR=0.91, 95% CI 0.81 to 1.01) and 11% (HR=0.89, 95% CI 0.81 to 0.98) decrease in diabetes incidence. This evidence can help guide policies for diabetes prevention by focusing efforts on specific urban areas.

引用

页数：6

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